| NPI | 1659254068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE LUCKEY Administrator 630-423-5920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TC1900X Psychologist, Counseling | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 101YM0800X Counselor, Mental Health | |
| 103TC0700X Psychologist, Clinical | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 104100000X Social Worker | |
| 103K00000X Behavior Analyst | |
| 103TF0000X Psychologist, Family | |
| 103T00000X Psychologist | |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-10-16 |